Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review

Introduction: Myoepithelioma (ME) is a rare salivary gland tumor. Constructed aroung a clinical case, this article aims to gather up up-to-date epidemiological, clinical and histological data about myoeptihelioma with emphasis on the diagnostic approach and differential diagnoses, paraclinical exams...

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Main Authors: Maffi-Berthier Louis, Le pelletier François, Ejeil Anne-laure
Format: Article
Language:English
Published: EDP Sciences 2018-06-01
Series:Journal of Oral Medicine and Oral Surgery
Subjects:
Online Access:https://www.jomos.org/articles/mbcb/full_html/2018/02/mbcb170053/mbcb170053.html
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author Maffi-Berthier Louis
Le pelletier François
Ejeil Anne-laure
author_facet Maffi-Berthier Louis
Le pelletier François
Ejeil Anne-laure
author_sort Maffi-Berthier Louis
collection DOAJ
description Introduction: Myoepithelioma (ME) is a rare salivary gland tumor. Constructed aroung a clinical case, this article aims to gather up up-to-date epidemiological, clinical and histological data about myoeptihelioma with emphasis on the diagnostic approach and differential diagnoses, paraclinical exams and the main histological features reported for its characterization. Observation: A 41-year-old female, presenting a 1-year slowly enlarging palatine nodule was referred to the Oral Pathology Consultation. Clinical data and paraclinic examination were non-specific. A thorough histological examination, comparing clinical data with cyto-architectural and immunostaining profile of the tumor allowed a positive diagnosis of ME. Discussion: The clinical aspect of ME is close from other more frequent tumors within the same areas. Accordingly, its discovery is often incidental and its diagnosis histological. ME display variable architecture and composition, requiring full tumor examination for proper diagnosis. When benign, ME act as mixed tumor regarding local extension, prognosis and recurrence. Malignant ME behaves as a low-grade malignant tumor with metastatic potential. Conclusion: Despite its rarity, ME should be hypothesized in front of a palatine nodule. Clinician and pathologist should be particularly cautious regarding nature, malignancy and follow-up of this tumor, since few data are up-to-now available.
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spelling doaj.art-26e85159b13c442dbd70b1211c00fa282022-12-21T22:56:06ZengEDP SciencesJournal of Oral Medicine and Oral Surgery2608-13262018-06-01242818810.1051/mbcb/2017040mbcb170053Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature reviewMaffi-Berthier LouisLe pelletier François0Ejeil Anne-laureDepartment of Oral & ENT Pathology, Pitié-Salpêtrière Hospital, Department of Dermatology, Cochin-Port Royal HospitalIntroduction: Myoepithelioma (ME) is a rare salivary gland tumor. Constructed aroung a clinical case, this article aims to gather up up-to-date epidemiological, clinical and histological data about myoeptihelioma with emphasis on the diagnostic approach and differential diagnoses, paraclinical exams and the main histological features reported for its characterization. Observation: A 41-year-old female, presenting a 1-year slowly enlarging palatine nodule was referred to the Oral Pathology Consultation. Clinical data and paraclinic examination were non-specific. A thorough histological examination, comparing clinical data with cyto-architectural and immunostaining profile of the tumor allowed a positive diagnosis of ME. Discussion: The clinical aspect of ME is close from other more frequent tumors within the same areas. Accordingly, its discovery is often incidental and its diagnosis histological. ME display variable architecture and composition, requiring full tumor examination for proper diagnosis. When benign, ME act as mixed tumor regarding local extension, prognosis and recurrence. Malignant ME behaves as a low-grade malignant tumor with metastatic potential. Conclusion: Despite its rarity, ME should be hypothesized in front of a palatine nodule. Clinician and pathologist should be particularly cautious regarding nature, malignancy and follow-up of this tumor, since few data are up-to-now available.https://www.jomos.org/articles/mbcb/full_html/2018/02/mbcb170053/mbcb170053.htmlpathologyoralmyoepitheliomapalateneoplasms
spellingShingle Maffi-Berthier Louis
Le pelletier François
Ejeil Anne-laure
Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review
Journal of Oral Medicine and Oral Surgery
pathology
oral
myoepithelioma
palate
neoplasms
title Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review
title_full Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review
title_fullStr Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review
title_full_unstemmed Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review
title_short Benign myoepithelioma of the hard palate: a clinical and histological diagnostic challenge. Case report and literature review
title_sort benign myoepithelioma of the hard palate a clinical and histological diagnostic challenge case report and literature review
topic pathology
oral
myoepithelioma
palate
neoplasms
url https://www.jomos.org/articles/mbcb/full_html/2018/02/mbcb170053/mbcb170053.html
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AT lepelletierfrancois benignmyoepitheliomaofthehardpalateaclinicalandhistologicaldiagnosticchallengecasereportandliteraturereview
AT ejeilannelaure benignmyoepitheliomaofthehardpalateaclinicalandhistologicaldiagnosticchallengecasereportandliteraturereview